Organization
PERSON CENTERED PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANDA ANTRUM (CHIEF SERVICE OFFICER)
(757) 227-6081
Entity
Organization
Contact information
Practice address
4667 HAYGOOD RD, # 506, VIRGINIA BEACH, VA 23455-5444
(757) 227-6081
(757) 227-6082
Mailing address
4667 HAYGOOD RD, # 506, VIRGINIA BEACH, VA 23455-5444
(757) 227-6081
(757) 227-6082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1823-02-006
VA
Other
Enumeration date
04/20/2013
Last updated
04/20/2013
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